Cardiologists now have a number of medical therapies to consider for patients who have heart failure with preserved ejection fraction, including empagliflozin, which has been shown to reduce CV mortality and heart failure hospitalizations. "This is a big difference from five years ago, when there were no specific therapies for HFpEF, and we focused on the comorbidities such as hypertension, atrial fibrillation and ischemic heart disease," said Christopher O'Connor, MD, editor-in-chief of JACC: Heart Failure.
Most patients with nonalcoholic fatty liver disease die of cardiovascular disease, not liver disease, prompting researchers to look more closely at the connections between heart and liver health, experts said. "Fatty liver is emerging in the clinical arena as a strong determinant of not only CVD, but diabetes and even certain kinds of cancers," said Johanna K. DiStefano, PhD, of the Translational Genomics Research Institute in Phoenix.
A 9,739-person study published in the Journal of Internal Medicine found that older adults who were consistently overweight or had obesity for most of their lives had greater odds of having concentrations of cardiac troponin T, "a highly sensitive index of subclinical myocardial injury," regardless of their diabetes status. The findings demonstrate that long-standing obesity is detrimental to cardiac health even before symptoms occur, and highlight the importance of maintaining a normal weight to prevent cardiac conditions like heart failure, according to lead researcher Magnus Lyngbakken, MD.
Antioxidants, CVD Risk, and Avocados The most common dietary recommendation for reducing the risk of heart disease is to replace saturated fats with "good" fats. But what about the role of antioxidants, specifically antioxidants from avocados? A recent study published in The Journal of Nutrition addresses this very topic.
Read the Study
Researchers at the Icahn School of Medicine at Mount Sinai developed a deep learning algorithm that identifies signs of both left- and right-side ventricular weakness in electrocardiogram wave form data, according to a study published in the journal Cardiovascular Imaging. The algorithm could reduce the time and cost of diagnosing heart failure, senior author Benjamin Glicksberg said.
Nurses with an empathetic, caring nature are at risk for secondary traumatic stress and trauma as they care for patients in crisis, says Karen Foli, an associate professor and director of the PhD in nursing program at Purdue University. It is crucial for health system leadership to create a trauma-informed environment to allow traumatized nurses to recover and build resiliency, Foli said.
As providers, we have an important role to play in reducing the impact of structural racism on our patients' health. In partnership with the Association of Black Cardiologists, PCNA's 2021 Health Equity Summit will offer solutions, provide tools and tips, and outline steps that can be taken at the personal, local, and national level to close the gap in health disparities. Join us November 2 and 4 for this important event. Learn more.
PCNA is excited to release a new three-part podcast series highlighting best practices in the diagnosis and management of ATTR-CM (transthyretin amyloid cardiomyopathy). Whether or not your job title includes the phrase "nurse navigator," the role of helping patients navigate their ATTR-CM diagnosis and management can be complex. Find clinical pearls and related resources to help you, your colleagues, patients, and family improve patient outcomes. Listen to the podcasts.